Individual provider · Type 1 NPI

Thyara Micheli

Nurse Practitioner · Southborough, MA

NPI number 1942980289 Active

Practice location

2 Park Central Dr Ste 140
Southborough, MA 01772-1777

Call (508) 988-8922 Map

Fax (508) 988-8920

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2303635 (MA)
General Practice Registered Nurse 163WG0000XRN2303635 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1942980289

Thyara Micheli's National Provider Identifier is 1942980289, issued on Jul 21, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southborough, MA. The record was last updated on May 5, 2026.